Salt Intakes, Knowledge, and Behavior in Samoa: Monitoring Salt‐Consumption Patterns Through the World Health Organization's Surveillance of Noncommunicable Disease Risk Factors (STEPS)

Autor: Mary-Anne Land, Jacqui Webster, Gavin Faeamani, Wendy Snowdon, Sarah Asi Faletoese Su'a, Bruce Neal, Satu Viali, Colin Bell, Marj Moodie, Kathy Trieu, Miraneta Vaiaso, Merenia Ieremia, Mark Woodward, Severine Bompoint, Claire Johnson
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
Pathology
medicine.medical_specialty
Endocrinology
Diabetes and Metabolism

Samoa
Population
Urine
030204 cardiovascular system & hematology
Recommended Dietary Allowances
World Health Organization
1102 Cardiovascular Medicine And Haematology
World health
Excretion
03 medical and health sciences
0302 clinical medicine
Risk Factors
Environmental health
Internal Medicine
1101 Medical Biochemistry And Metabolomics
Medicine
Humans
030212 general & internal medicine
Salt intake
Sodium Chloride
Dietary

education
2. Zero hunger
education.field_of_study
Original Paper
business.industry
Sodium
1103 Clinical Sciences
Original Papers
3. Good health
Standard error
Cardiovascular System & Hematology
Noncommunicable disease
Population Surveillance
Female
Cardiology and Cardiovascular Medicine
business
Body mass index
Zdroj: Journal of Clinical Hypertension (Greenwich, Conn.)
ISSN: 1751-7176
1524-6175
Popis: This project measured population salt intake in Samoa by integrating urinary sodium analysis into the World Health Organization's (WHO's) STEPwise approach to surveillance of noncommunicable disease risk factors (STEPS). A subsample of the Samoan Ministry of Health's 2013 STEPS Survey collected 24-hour and spot urine samples and completed questions on salt-related behaviors. Complete urine samples were available for 293 participants. Overall, weighted mean population 24-hour urine excretion of salt was 7.09 g (standard error 0.19) to 7.63 g (standard error 0.27) for men and 6.39 g (standard error 0.14) for women (P=.0014). Salt intake increased with body mass index (P=.0004), and people who added salt at the table had 1.5 g higher salt intakes than those who did not add salt (P=.0422). A total of 70% of the population had urinary excretion values above the 5 g/d cutoff recommended by the WHO. A reduction of 30% (2 g) would reduce average population salt intake to 5 g/d, in line with WHO recommendations. While challenging, integration of salt monitoring into STEPS provides clear logistical and cost benefits and the lessons communicated here can help inform future programs.
Databáze: OpenAIRE